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Virginia rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.00 / $986.96 / $1,861.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $426.40 / $442.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $2,555.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $208.00 / $332.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.00 / $468.00 / $912.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $1,146.19 / $2,663.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.38 / $315.74 / $926.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $624.00 / $769.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.90 / $598.00 / $894.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $728.00 / $1,248.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $625.04 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.40 / $625.04 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $270.39 / $598.00